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[与人类免疫缺陷病毒1型神经毒性作用相关的脑脊液生化变化]

[Biochemical changes in cerebrospinal fluid associated with the neurotoxic action of HIV-1].

作者信息

Gómez Alcalde M S, Reyes Martín A

机构信息

Departamento de Ciencias Sanitarias y Médico Sociales de la Facultad de Medicina de Alcalá de Henares.

出版信息

Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1996 Jul-Aug;24(4):209-18.

PMID:8984853
Abstract

The aim of this study is to evaluate the usefulness of different markers to diagnose neurologic and psychiatric diseases due to HIV-1 infection Increased concentration of quinolenic acid has been implicated in the neurologic deficits and brain atrophy that may accompany infection with the HIV-1 virus. CFS concentrations of quinolenic acid have been implicated in the pathogenesis of the AIDS dementia complex. Cytokines liberation are very altered and this factor may be correlated with direct toxicity about central nervous system cells. Also are increased the values of neopterin. In the different stages of AIDS, the highest values are obtained in dementia complex. Neopterin, tryptofan and kinorenina, in blood and CFS are directly correlated with neurologic and psychiatry sintomatology. The highest values of soluble intercellular adhesion molecule 1 are found in HIV encephalopathy As well as are important the values, in CSF and blood of beta-2-M, Ag HIV, Ac41, tumor necrosis factor-alpha in the neurologic disease in HIV-1 infection

摘要

本研究的目的是评估不同标志物对诊断HIV-1感染所致神经和精神疾病的有用性。喹啉酸浓度升高与HIV-1病毒感染可能伴随的神经功能缺损和脑萎缩有关。脑脊液中喹啉酸浓度与艾滋病痴呆综合征的发病机制有关。细胞因子释放有很大改变,且该因素可能与对中枢神经系统细胞的直接毒性相关。新蝶呤值也升高。在艾滋病的不同阶段,痴呆综合征患者的值最高。血液和脑脊液中的新蝶呤、色氨酸和喹诺酮与神经和精神症状直接相关。可溶性细胞间黏附分子1的最高值见于HIV脑病。同样,脑脊液和血液中β2-微球蛋白、HIV抗原、Ac41、肿瘤坏死因子-α的值在HIV-1感染所致神经疾病中也很重要

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